Active NPI
Chenee Womack
- Home Health Agency
- Woodlyn, PA
National Provider Identifier
1790494151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 64443601
- Practice address
- 1742 Liberty Rd
Woodlyn, PA 19094-1433 - Phone
- (148) 448-5002
- NPI assigned
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 64443601 | PA | Primary |
Addresses
Primary practice location
1742 Liberty Rd
Woodlyn, PA 19094-1433
Mailing address
1742 Liberty Rd
Woodlyn, PA 19094-1433
Phone (148) 448-5002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104054719-0001 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | saa.hhc@yahoo.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64443601 | PA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenee Home Health Care LLC | Home Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Woodlyn, PA
- NPI 1124737507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1790494151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 LIBERTY RD",
"city": "WOODLYN",
"state": "PA",
"postal_code": "190941433",
"telephone_number": "148-448-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1742 LIBERTY RD",
"city": "WOODLYN",
"state": "PA",
"postal_code": "190941433",
"telephone_number": "148-448-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "CHENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "64443601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104054719-0001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "saa.hhc@yahoo.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1742 Liberty Rd",
"city": "Woodlyn",
"state": "PA",
"country_code": "US",
"postal_code": "190941433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodlyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.